Organization Name: | CALAZ |
NPI Number: | 1831365436 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BETTY L KLEBANOFF (PRESIDENT/CEO) |
Mailing Address: | 10507 Garden Grove Blvd Garden Grove |
State: | CA US |
Postal Code: | 928431128 |
Phone Number: | 7142600226 |
Fax Number: | 7142600228 |
NPI Enumeration Date: | 05/02/2008 |
NPI Last Update Date: | 05/02/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |